Medrx Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDRX PHARMA INC

Doing business as

NORTH D PHARMACY

Practice address

1556 N D St Ste B
San Bernardino, CA 92405-4710

Phone

(909) 533-0212

NPI assigned

Nov 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phoebe Ruth Martin

Title

Secretary

Phone

(909) 533-0212

Specialties & licenses 1

Addresses

Other names 1

• NORTH D PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Medrx Pharma Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medrx Pharma Inc

  • Long Term Care Pharmacy
  • San Bernardino, CA
  • NPI 1790517878
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1346907003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 N D ST STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054710",
            "telephone_number": "909-533-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 N D ST STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054710",
            "telephone_number": "909-533-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRX PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PHOEBE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "909-533-0212"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH D PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medmile Inc
• Yvonne Carlo Medock, NP
• Medpro Interpreting
• Yessica Priscila Medrano Corona, MSW
• Mariela Aguilera Medrano, LMFT
• Medrx Pharma Inc
• Medx-Imaging Services
• Medx-Imaging Services
• Eric Warner Mee, D.D.S.
• Mega First Care Inc

• Community/Retail Pharmacy in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.